kohlem

Greetings, This is a HOT TOPIC to me for 2 reasons: 1) I am soon to step into the role, completing my MSN shortly. I share an ER background with one of the posters and I agree that the autonomy of the ER RN role and the collegial relationships existing between MD's and staff have been helpful developmentally. However, I also agree the transition is a huge leap from the traditional nursing role; and I'm wondering if there is a direct correlation between length of time in a role (the endearing characteristics of the role in which we are socialized into) and the challenges to transition into the advanced role. I would never argue that my knowledge/experience give me a huge edge over some of my peers, but having been in the role for 20 years poses some unique challenges. 2) I happen to be looking at transition in the form of qualitative research, so I am very interested in this discussion, particulary by NP's who have struggled through that first year!